A system for aligning an axis of a tool guide with a target axis is provided that includes a robotic device and a computing system. The robotic device includes a base, a connection mechanism configured to be selectively coupled to a tool guide, and an actuator system for moving the connection mechanism relative to the base in response to control signals. The computing system generates first control signals for maintaining alignment of an axis of a fixation element and second control signals for maintaining alignment of the connection mechanism, when the connection mechanism is coupled to the tool guide and indirectly to the fixation elements inserted in the tissue, coincident with a second virtual plane to adjust the tool guide for aligning the axis of the tool guide with the target axis. A tool guide is also provided along with a method of use thereof.
An optical tracking system includes at least one tracking array for generating and optically transmitting data between 1 and 2,000 MB/s. At least one tracker for optically receiving the optically transmitted data between 1 and 2,000 MB/s is also provided. The tracking system is used not only for tracking objects and sending tracking information quickly but also providing the user or other components in an operating room with additional data relevant to an external device such as a computer assisted device. Orthopedic surgical procedures such as total knee arthroplasty (TKA) are performed more efficiently and with better result with the optical tracking system.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 17/00 - Surgical instruments, devices or methods
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/30 - Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
H04B 10/112 - Line-of-sight transmission over an extended range
In TKA, after the posterior cut surface is formed, a spacer is placed on the posterior cut surface (e.g., directly thereon, or sandwiched between the posterior cut surface and the tibia, plateau or tibia, cut. surface) to replace the removed posterior condyles in order to use the manufacturer's sizing guide to: (i) determine an appropriate implant size; and/or (ii) determine the location for mounting the 4-in-1 block on the distal cut surface to align the 4-in-1 cut block in the correct POSE to guide the formation of the remaining cut surfaces to accommodate the determined implant size. The thickness of the spacer may replicate (or matches) the thickness of the femoral implant posterior thickness or the thickness of the removed posterior condyles. The spacer may have an adjustment, mechanism to account for the posterior thickness of different implant lines or the thickness of the removed posterior condyles.
A biocompatible surgical article is provided for cutting biological tissue or implantation in contact therewith. The surgical article has a composition of tungsten carbide—nickel with a percentage of additional metal carbides present. A typical composition in total weight percentages is WC 85 to 95%, Cr3C2, Mo2C, VC each alone or in combination being present from 0 to 2%, and Ni constituting the remainder. The composition is formed to have an mean grain size of between 200 and 800 nm with a particle dispersion index (PdI) corresponding to (the square of the standard deviation)/(mean grain size) of between 0 and 0.6, and in some embodiments between 0.02 and 0.2.
A method and system are disclosed to assist in proper alignment of a cutting guide relative to a bone in preparation for a joint implant. Separately, or in combination with the cutting guide alignment, the planarity of a cut surface is measured, in order to modify the cut surface prior to mounting an implant on the bone. Location feedback of a digitizer tip relative to a bone coupled cutting guide is used to determine the position and orientation (POSE) of a cut plane to be formed on the bone using a cutting device in conjunction with the guide slot(s) of the cutting guide. The POSE of the digitizer is determined using a tracking system. The POSE of the determined cut plane overlaid on a bone model and compared to the POSE of a planned cut plane better positions the cutting guide prior to actual bone cuts using the cutting guide.
A system and method are provided that supplies computer inputs using a tracked pointer as an input device during computer-assisted surgery. The system and method provides input or feedback to a computer-assisted surgical device. The system and method utilizes a tracking system for tracking one or more devices in an operating room. The devices include a tracked pointer to input data into a computing system using the anatomy as a reference for selecting an input. The tracked pointer inputs data into the computing system based on the position of the tracked pointer relative to a selection location defined with respect to the anatomy.
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
G06F 3/0346 - Pointing devices displaced or positioned by the userAccessories therefor with detection of the device orientation or free movement in a 3D space, e.g. 3D mice, 6-DOF [six degrees of freedom] pointers using gyroscopes, accelerometers or tilt-sensors
7.
LOCATING FEATURES AT PRE-DEFINED LOCATIONS RELATIVE TO A BONE CUT SURFACE
A system for locating a feature relative to a cut surface is provided. The feature has a pre-defined location relative to the cut surface. The system includes a tool having a tool tip and a tracking element. A display is provided that is capable of providing a visual representation. A computer comprising a processor, configured to: display on the display a visual representation of a resected view of a bone cut surface and a location of a feature having a pre-defined location relative to the bone cut surface, providing feedback on the display of a tool tip physical location relative to the location for the feature A method for locating a feature on a bone cut surface is also provided.
A method for registering bone data to a bone is provided that includes the recordation of tracking element locations. The tracking element being associated with the bone while the bone is rotated about an axis. The axis of rotation is determined using the recorded locations. The bone data is registered to the bone and includes a bone landmark located at a determinable or pre-determined location with respect to the bone data, wherein an approximate alignment of the bone landmark with the determined axis is used for the registration. A system for performing the registration is also provided. The system includes a tracking system for tracking locations of a tracking element, the tracking element configured to be affixed to a bone. A computer having a processor is included and configured to perform the computational steps of the method.
G06T 3/14 - Transformations for image registration, e.g. adjusting or mapping for alignment of images
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
9.
SURGICAL SYSTEM AND METHOD FOR FORMING LESS THAN ALL BONE CUT SURFACES FOR IMPLANT PLACEMENT
A method to assist in forming one or more cut surfaces on a bone in preparation for contact with one or more contact surfaces of an implant is provided. Cutting instructions are provided to direct a computer-assisted surgical (CAS) device during formation of a first number of cut surfaces on the bone. The first number of cut surfaces being less than a total number of contact surfaces of the implant. A system for the practice of the method is also provided.
A system and method are described herein for determining if hardware installed in a bone is at least partially within a volume of bone to be removed. The method includes determining a location for the volume of bone to be removed relative to a position of the bone. A POSE of a piece of hardware installed in the bone is determined. A computer comprising a processor then calculates if any portion of the piece of hardware is located at least partially within the volume of bone to be removed using the determined location of the volume of bone to be removed and the determined POSE of the piece of hardware. A user may be notified if any portion of the hardware is located at least partially within the cut volume.
A computer-assisted method is provided for determining a placement position for an implant relative to a bone. According to the method, a force profile exerted on a bone is calculated from bone density data and bone architecture data. A position and orientation (POSE) for an implant in relation to the bone based is then determined, at least in pail, on the calculated force profile. A computing system is provided that includes a computer having a processor and non-transient memory programmed with operating planning software that when executed by the processor is configured to: calculate a force profile exerted on a bone from bone density data and bone architecture data and determine a position and orientation (POSE) for an implant in relation to the bone based, at least in part, on the calculated force profile.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 6/50 - Apparatus or devices for radiation diagnosisApparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific body partsApparatus or devices for radiation diagnosisApparatus or devices for radiation diagnosis combined with radiation therapy equipment specially adapted for specific clinical applications
A61B 5/00 - Measuring for diagnostic purposes Identification of persons
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
12.
DETERMINING A POSITION FOR AN IMPLANT RELATIVE TO A BONE BASED ON BONE REMODELING DATA
A computer-assisted method is provided for determining a placement position for an implant relative to a bone. According to the method, a force profile exerted on a bone is calculated from bone density data and bone architecture data. A position and orientation (POSE) for an implant in relation to the bone based is then determined, at least in part, on the calculated force profile. A computing system is provided that includes a computer having a processor and non-transient memory programmed with operating planning software that when executed by the processor is configured to: calculate a force profile exerted on a bone from bone density data and bone architecture data and determine a position and orientation (POSE) for an implant in relation to the bone based, at least in part, on the calculated force profile.
A system is provided that includes a surgical robot having an end-effector and a plurality of actuators for moving the end-effector. The end-effector movement being in response to first control signal to align the end-effector with a first virtual plane having a first predefined location relative to a first portion of a bone or bone fragments for performing a first operation thereon. A second control signal aligns the end-effector with a second virtual plane having a second predefined location relative to a second portion of the bone or bone fragments for performing a second operation thereon. A feedback mechanism can also be provided based on relative locations. A method for repairing a defect in a bone is provided based on the operation of an inventive system to move the end-effector. Bone modification results to correct a defect in the bone.
A computerized method for determining a bone resection level and implant pairing is provided. A first resection level and a second resection level are selected to define first and second bone perimeter data relative to bone image data of a subject bone, respectively. Perimeter data of an implant is virtually positioned at locations for the first resection level and separately at the second resection level. The best fit position of the implant at the first and second resection levels are determined. The best fit position of the implant at the first resection level and the second resection level are compared to determine which resection level is a best pairing for the implant.
A system, device, and method is provided that improves the point collection process during bone registration for computer-assisted surgical procedures. A user is guided in the point collection process by projecting a set of points directly on the bone with a tracked digitizer probe following a rough registration of the bone. The system, device, and method therefore negates the need for the user to constantly look-up on an instructional display monitor and make the complicated mappings between the displayed instructions on the monitor and the actual bone.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
16.
AUTOMATED ARTHOPLASTY PLANNING WITH MACHINE LEARNING
A surgical planning system for planning a surgery based on experience of a historical user is provided that includes a computer operatively coupled to a display for displaying a graphical user interface (GUI) and a processor configured to execute the planning software. The computer or the software generate surgical plans based on the set of characteristics of the bone image and the recognized patterns of the planning model corresponding to experience of the first historical user. A computerized method for defining implant positioning data relative to a bone image or evaluating the surgical plans are also provided. A method of performing surgery on a subject is also provided according to a so developed surgical plan.
An installation tool for installing a tracking member on a substrate is provided that includes a body with at least one guide hole located at a first end of the body for guiding a fixation element into the substrate. A holding mechanism is provided for holding the body to the fixation element. A coupler located at an opposing end of the body is provided for coupling the tracking member to the body. A removable handle has an opening for receiving at least portion of the coupler inside the removable handle. A system is also provide that includes the installation tool and a tracking member.
A system for confirming registration of a bone involved in a joint replacement procedure is provided. The system includes a three-dimensional (3-D) bone model of the bone registered to a bone location, a visible light camera, and a display. The visible light camera captures images of the bone in the camera’s field-of-view (FOV). The display is configured to display the captured images of the FOV and an image of the 3-D bone model, where the displayed location of the image of the 3-D bone model corresponds to the location of the 3-D bone model registered to the bone location. The registration may be confirmed if the displayed location of the image of the bone as captured by the visible light camera corresponds to the displayed location of the 3-D bone model.
A processing tray for a device having a subassembly is provided that includes a base. One or more receiving appurtenances are positioned on the base or an insert supported by the base. The receiving appurtenances are complementary to the device for retaining the device at a predetermined location. One or more arresting appurtenances are present and adapted to prevent receipt of the device at the predetermined location if the subassembly is coupled with the device. The arresting appurtenances may contact the subassembly when the subassembly is coupled with the device to prevent such receipt. A method of processing a device includes decoupling a subassembly from an object to yield the device to be processed. The device is placed in contact at the predetermined location to prevent receipt of the device if the subassembly is still coupled to the device. As a result, accidental processing of the subassembly is prevented.
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
Goods & Services
Downloadable computer software, namely, planning software
for use in general surgery and in orthopedic surgery, and
instruction manuals provided with the downloadable computer
software; computer hardware and recorded software for
surgical or medical use for processing patient image data;
instrument tracking computer hardware and recorded operating
software for use during surgical procedures. Surgical robotic instruments for use in general surgery and
in orthopedic surgery.
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
Goods & Services
Downloadable computer software, namely, planning software
for use in general surgery and in orthopedic lower limb
surgery, and instructions manuals provided with the
downloadable computer software; surgical systems or medical
apparatus comprising computer hardware and recorded software
for processing patient image data; instrument tracking
computer hardware and recorded operating software for use
during surgical procedures. Surgical robotic instruments for use in general surgery and
in orthopedic lower limb surgery.
Systems and methods are provided to aid in planning at least a portion of a total knee arthroplasty procedure. The system and method automatically aligns the implant components and the bones according to a desired clinical alignment goal with minimum user input. The system and method further allows the user to adjust the position and orientation of the femur, tibia, or implant in a clinical direction regardless of a pre-adjusted position and orientation of the femur, tibia, or implant. The graphical user interface is provided that includes a three-dimensional (3-D) view window, a view options window, a patient information window, an implant family window, a workflow-specific tasks window, and a limb and knee alignment measures window.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
G06F 3/04815 - Interaction with a metaphor-based environment or interaction object displayed as three-dimensional, e.g. changing the user viewpoint with respect to the environment or object
G16H 50/50 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
A system for determining an orientation of a tool axis with respect to a coordinate frame of a robot is described herein. The robot includes a tool holder and a plurality of fiducial markers for defining a first coordinate frame of the robot. A calibration device is provided having a second fiducial marker for a tracking system to track positions and configured to couple to the tool holder; and rotate relative to the tool holder when coupled to the tool holder. A computer having a processor is configured to fit a circle or arc to recorded positions of the calibration device. The recorded positions of the calibration device are recorded when coupled to the tool holder, is rotated relative to the tool holder. A vector normal to the fitted circle or arc is calculated to determine an orientation of the tool axis. A method of use is also provided.
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
Goods & Services
(1) Downloadable computer software, namely, planning software for use in general surgery and in orthopedic lower limb surgery, and instructions manuals provided with the downloadable computer software; surgical systems or medical apparatus comprising computer hardware and recorded software for processing patient image data; instrument tracking computer hardware and recorded operating software for use during surgical procedures.
(2) Surgical robotic instruments for use in general surgery and in orthopedic lower limb surgery.
A method for verifying the calibration of a digitizer during a computer-assisted medical procedure is provided utilizing a tracked digitizer and a secondary tracking array (e.g., a bone tracking array). A medical system for performing the computerized method for verifying the calibration of a digitizer during a computer-assisted medical procedure is provided. A method for verifying the calibration of a tracking array relative to a feature with the system includes a first calibration definition and a second calibration definition transmitted to the tracking system. A first feature and a second feature together are assembled. The calibration is verified by computing the deviations between the tracked position of the first feature and the tracked position of the second feature using: a recorded position and orientation of the first and second tracking array, and the uploaded first calibration definition and the uploaded second calibration definition.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
Goods & Services
(1) Downloadable computer software, namely, planning software for use in general surgery and in orthopedic surgery, and instruction manuals provided with the downloadable computer software; computer hardware and recorded software for surgical or medical use for processing patient image data; instrument tracking computer hardware and recorded operating software for use during surgical procedures.
(2) Surgical robotic instruments for use in general surgery and in orthopedic surgery.
28.
SURGICAL SYSTEM AND METHOD FOR FORMING LESS THAN ALL BONE CUT SURFACES FOR IMPLANT PLACEMENT
A method to assist in forming one or more cut surfaces on a bone in preparation for contact with one or more contact surfaces of an implant is provided. Cutting instructions are provided to direct a computer-assisted surgical (CAS) device during formation of a first number of cut surfaces on the bone. The first number of cut surfaces being less than a total number of contact surfaces of the implant. A system for the practice of the method is also provided.
A method and system to align a pin or drill a tunnel along a single line in space with a two degree of freedom (2-DOF) surgical device in a patient is provided. A plane is defined relative to a desired location for an implant or tunnel on a bone, where the implant or tunnel has an axis. An end-effector of the 2-DOF surgical device is aligned coincident with the plane, and the 2-DOF surgical device is moved side-to until a first indicator signals when the end-effector aligns with an entry point for the desired location for the implant or tunnel on the bone. A tip of the end-effector is anchored into the bone at the entry point; and the 2-DOF surgical device is rotated about the anchored tip until a second indicator signals when the end-effector aligns with the axis of the implant or tunnel at the desired location.
A61B 17/16 - Instruments for performing osteoclasisDrills or chisels for bonesTrepans
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A computer-implemented method to improve the point collection process during registration of a bone for a computer-assisted surgical procedure is provided. Based on bone digitization data, a simulation is performed to confirm the accuracy of the registration for different digitization regions. Results are tested to identify which digitization regions meet a predefined accuracy requirement. The resulting information is used to perform a computer-assisted surgical procedure. A computerized simulation method for registration of a bone for a computer-assisted surgical procedure is also provided based on processor executing random stroking an expected exposed surface of a bone model with multiple of stroke curves to cover most of the bone model surface with uniform noise and a random sample consensus is applied to remove outlying point to yield the best registration results, to find the top subset as to overlap. A method to perform computer-assisted surgery is also provided.
A system and method are provided for aligning a tool with a targeted axis in tissue to perform a medical procedure. medical plan is registered to the location of the tissue using a computer-assisted medical system, where the medical plan include a planned position for the targeted axis based on pre-procedure data. The tool is aligned with the planned position for the targeted axis using a computer- assisted medical system. The computer-assisted medical system includes a hand- held device having a handle and a working portion adjustable relative to the handle so as to orient the tool. A computing system is also provided comprising a tracking system and a control system for registering the medical plan to the location of the tissue, tracking the hand-held device relative to the tissue and the medical plan, and adjusting the working portion of the hand-held device relative to its handle.
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
16 - Paper, cardboard and goods made from these materials
41 - Education, entertainment, sporting and cultural services
Goods & Services
downloadable computer software, namely, planning software for use in general surgery and in orthopedic surgery, and downloadable instructions manuals provided with the downloadable computer software; Instrument tracking computer hardware and recorded operating software for use during surgical procedures surgical robotic instruments for use in general surgery and in orthopedic surgery; surgical systems and medical apparatus comprising a surgical robotic instrument as well as computer hardware and recorded software for processing patient image data for use therewith all sold together as a unit printed instructions manuals provided with downloadable computer planning software for use in general surgery and in orthopedic surgery providing online non-downloadable instructions manuals for use in connection with downloadable computer planning software for use in general surgery and in orthopedic surgery
A device, method, and system are provided for measuring the fit and mechanical properties of an intended ligament or tendon graft during a surgical procedure. The device includes a sensor body, a set of temporary fixation securements that terminate a set of opposing sides of the sensor body, and electronic circuitry in communication with the sensor body, where the electronic circuitry generates electric signals in proportion to the mechanical properties experienced by the sensor body. The set of temporary fixation securements are adapted to attach to at least one of: (i) one or more patient bones, or (ii) permanent fixation hardware assembled to one or more patient bones.
A method and system are provided to assist in positioning the field-of-view (FOV) of an optical tracking system during a computer-assisted surgical procedure. The method includes displaying a view from a visible light detector on a display, and generating an outline as an overlay on the display of a FOV of two or more optical tracking detectors on the displayed view from the visible light detector. A user then positions at least one of: a) the two or more optical tracking detectors, or b) a tracked object based on the displayed view from the visible light detector and the generated outline.
A surgical device is provided includes a hand-held portion with a working portion movably coupled to the hand-held portion for driving a tool. Actuators are provided for moving the working portion with each of the actuators having a travel range. An indicator notices a user when at least one of actuators is: (i) within the travel range; (ii) approaching a travel limit of the travel range; or (iii) outside the travel range. A surgical system is also provided inclusive the surgical device and a computing system configured to activate the indicator.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A surgical device is provided includes a hand-held portion with a working portion movably coupled to the hand-held portion for driving a tool. Actuators are provided for moving the working portion with each of the actuators having a travel range. An indicator notices a user when at least one of actuators is: (i) within the travel range; (ii) approaching a travel limit of the travel range; or (iii) outside the travel range. A surgical system is also provided inclusive the surgical device and a computing system configured to activate the indicator.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A method of detecting a potential collision between an end-effector and bystander anatomy is provided. A cut-file or a representation of an implant is registered to a position of a first bone, the registered cut- file defining at least one orientation for an end-effector axis to assume while physically modifying the first bone. Imaging data of bystander anatomy is registered to a position of the bystander anatomy. The at least one orientation of the end-effector axis as defined in the registered cut- file is calculated in a computer if it has a spatial overlap with the registered imaging data to detect the potential collision. A portion of the registered representation can also projected along an axis with the projection used to determine possible collisions and if so provide the user with options.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 17/00 - Surgical instruments, devices or methods
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
Goods & Services
Downloadable computer software, namely, planning software
for use in general surgery and in orthopedic surgery, and
instruction manuals provided with the downloadable computer
software; surgical systems or medical apparatus comprising
computer hardware and recorded software for processing
patient image data; instrument tracking computer hardware
and recorded operating software for use during surgical
procedures. Surgical robotic instruments for use in general surgery and
in orthopedic surgery.
39.
Robotic alignment of a tool or pin with a virtual plane
Systems and methods for creating cuts on a bone are provided utilizing one or more cutting guides assembled to a plurality of bone pins, where the bone pins are inserted on the bone coincident with one or more virtual pin planes defined relative to one or more of the cuts. Alignment guides are also disclosed herein that aid in the creation of pilot holes for receiving a cutting block in a desired position and orientation (POSE). An articulating surgical device actively positions the bone pins coincident with the virtual plane to ensure the cutting guides, when assembled to the pins, aligns one or more guide slots in the desired POSE to create the cuts.
Systems and methods for creating cuts on a bone are provided utilizing one or more cutting guides assembled to a plurality of bone pins, where the bone pins are inserted on the bone coincident with one or more virtual pin planes defined relative to one or more of the cuts. Alignment guides are also disclosed herein that aid in the creation of pilot holes for receiving a cutting block in a desired position and orientation (POSE). An articulating surgical device actively positions the bone pins coincident with the virtual plane to ensure the cutting guides, when assembled to the pins, aligns one or more guide slots in the desired POSE to create the cuts.
Systems and methods for creating cuts on a bone are provided utilizing one or more cutting guides assembled to a plurality of bone pins, where the bone pins are inserted on the bone coincident with one or more virtual pin planes defined relative to one or more of the cuts. Alignment guides are also disclosed herein that aid in the creation of pilot holes for receiving a cutting block in a desired position and orientation (POSE). An articulating surgical device actively positions the bone pins coincident with the virtual plane to ensure the cutting guides, when assembled to the pins, aligns one or more guide slots in the desired POSE to create the cuts.
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
Goods & Services
(1) Downloadable computer software, namely, planning software for use in general surgery and in orthopedic surgery, and instruction manuals provided with the downloadable computer software; surgical systems or medical apparatus comprising computer hardware and recorded software for processing patient image data; instrument tracking computer hardware and recorded operating software for use during surgical procedures.
(2) Surgical robotic instruments for use in general surgery and in orthopedic surgery.
43.
PRECISE TUNNEL LOCATION PLACEMENT AND GUIDANCE FOR A ROBOTIC DRILL
A system and method are described herein for designating a precise location for a bone tunnel to receive a ligament or tendon graft and guiding a robotic drill for creating the bone tunnel. The system includes a tracking system, a digitizer, a computing system, and a robotic drill. The digitizer designates a start point for the tunnel entry site and an end point where the tunnel terminates. The start point and end point are recorded in the computing system and a vector is calculated between the start point and the end point. The vector is supplied to a robotic drill to drill the tunnel in the bone. A ligament or tendon graft may be placed in the tunnel and secured to the bone to complete the procedure.
A device for checking post cut plane accuracy and alignment following bone removal in a bone of a patient during a computer-assisted surgical procedure to create a bone surface is provided. The device includes a body having an axis and adapted to contact the bone surface. One or more alignment features are associated with the body and are accessible when the body is in contact with the bone surface. Each of the one or more alignment features has a known orientation and position relative to the axis. A method for checking post cut plane accuracy and alignment following removal of bone from a patient to create a bone surface during a computer-assisted surgical procedure is also provided. A computer-assisted surgical system is provided that includes a tracking system, a tracked digitizer probe, the aforementioned device, a tracked surgical device, and one or more computers with software for determining the orientation.
An articulating drill system is provided that includes a hand-held portion and a drill portion. At least two actuators are provided for controlling at least two axes of the drill portion. In some embodiments, a tool is provided with the drill portion and adapted to interact with patient tissue. The drill portion can be modified to include at least two rigid objects in communication with the actuators and attached to the drill portion. The system can be used to make any linear cut within a deviation of ±1.0 mm and ±1.0°, or better in patient tissue.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 17/16 - Instruments for performing osteoclasisDrills or chisels for bonesTrepans
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A surgical device for pin insertion in a bone of a subject to aid in performing a bone cutting procedure is provided that includes a drive portion configured to drive a pin for insertion into the bone. The drive portion has a pin drive assembly with a shaft having a shaft proximal end. At least one magnet is associated with the shaft proximal end adapted for attraction and retention of the pin in the shaft proximal end. A spindle assembly is adapted to drive the shaft so as to rotate the pin into the bone to a degree of bone retention that overcomes the attraction and the retention of the pin in the shaft proximal end. An alignment system for surgical bone cutting procedures inclusive of the same is also provided along with a method for aligning a cutting guide on a subject's bone.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61F 2/46 - Special tools for implanting artificial joints
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
An optical tracking system includes at least one tracking array for generating and optically transmitting data between 1 and 2,000 MB/s. At least one tracker for optically receiving the optically transmitted data between 1 and 2,000 MB/s is also provided. The tracking system is used not only for tracking objects and sending tracking information quickly but also providing the user or other components in an operating room with additional data relevant to an external device such as a computer assisted device. Orthopedic surgical procedures such as total knee arthroplasty (TKA) are performed more efficiently and with better result with the optical tracking system.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 17/00 - Surgical instruments, devices or methods
A61B 90/30 - Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
H04B 10/112 - Line-of-sight transmission over an extended range
A method for verifying the positional accuracy of a tracking reference device is provided that includes a tracking reference device attached to a bone. The bone is then registered with respect to a coordinate frame of the tracking reference device. A verification mark on the bone is then created where the position of the verification mark is recorded, by way of a tracking system, with respect to the tracking reference device. The positional accuracy of the tracking reference device is verified by instructing an end-effector of a robotic-assisted surgical device to align with the verification mark on the bone, and wherein if the end-effector does not align with the verification mark, the positional accuracy of the tracking reference device is compromised. A surgical system for performing the computerized method is also provided.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
Goods & Services
Downloadable computer software, namely, planning software for use in general surgery and in orthopedic surgery, and instruction manuals provided with the downloadable computer software; Surgical systems or medical apparatus comprising computer hardware and recorded software for processing patient image data; Instrument tracking computer hardware and recorded operating software for use during surgical procedures Surgical robotic instruments for use in general surgery and in orthopedic surgery
51.
COMPUTER INPUT METHOD USING A DIGITIZER AS AN INPUT DEVICE
A system and method is provided that supplies computer inputs using a tracked pointer as an input device during computer-assisted surgery. The system and method provides input or feedback to a computer-assisted surgical device. The system and method utilizes a tracking system for tracking a set of devices in an operating room. The set of devices includes a tracked surgical device that performs one or more tasks on a patient, a tracked display device that displays data related to the operation of the surgical device, and a tracked pointer to interact with the tracked display device and input data into a computing system associated with the tracking system and the tracked display device. The tracked pointer inputs data into the computing system based on the relative position and orientation (POSE) of the tracked pointer relative to the POSE of the tracked display device.
2C, VC each alone or in combination being present from 0 to 2%, and Ni constituting the remainder. The composition is formed to have a mean grain size of between 200 and 800 nm with a particle dispersion index (PdI) corresponding to (the square of the standard deviation)/(mean grain size) of between 0 and 0.6, and in some embodiments between 0.02 and 0.2.
A61L 27/42 - Composite materials, i.e. layered or containing one material dispersed in a matrix of the same or different material having an inorganic matrix
A61L 31/14 - Materials characterised by their function or physical properties
C22C 1/055 - Making hard metals based on borides, carbides, nitrides, oxides or silicidesPreparation of the powder mixture used as the starting material therefor with in situ formation of hard compounds using carbon
C22C 29/06 - Alloys based on carbides, oxides, borides, nitrides or silicides, e.g. cermets, or other metal compounds, e. g. oxynitrides, sulfides based on carbides or carbonitrides based on carbides, but not containing other metal compounds
C22C 29/08 - Alloys based on carbides, oxides, borides, nitrides or silicides, e.g. cermets, or other metal compounds, e. g. oxynitrides, sulfides based on carbides or carbonitrides based on carbides, but not containing other metal compounds based on tungsten carbide
A system and method are provided for aligning a keel punch in a planned position and orientation relative to a subject's bone in a time efficient manner, which forms keel receiving features in the subject's bone with the accuracy and precision of a surgical robot. The system and method provided removes prior surgical constraints and allows a surgeon to reposition the patient prior to punching the keel receiving features without losing the alignment, and protects the robot from the forces required to punch the keel features manually, which would otherwise occur if the surgical robot were to fixedly hold the keel punching tool in place while punching the keel features. The provided method does not require a tool change, or require an end- effector to be fixedly attached to any of the components while aligning the keel punch alignment guide on the subject's bone.
A surgical system is provided for robotically resecting tissue. The system includes a surgical robot with an end-effector configured to remove tissue along a path up to a planned boundary. A computing system interfaces with the surgical robot and includes one or more processors, non-transient storage memory, and software executable instructions. The computing system records deviations between the end-effector and the planned boundary while the end- effector removes tissue along the path during a first pass. The system then determines if the end- effector should perform a subsequent pass along at least a portion of the path based on the recorded deviations. A method for robotically resecting tissue along a path up to a planned boundary is also provided that determined on the recorded deviations, if the end-effector should perform a subsequent pass along at least a portion of the path.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
A61B 17/16 - Instruments for performing osteoclasisDrills or chisels for bonesTrepans
A method for verifying the calibration of a digitizer during a computer- assisted medical procedure is provided utilizing a tracked digitizer and a secondary tracking array (e.g., a bone tracking array). A medical system for performing the computerized method for verifying the calibration of a digitizer during a computer-assisted medical procedure is provided. A method for verifying the calibration of a tracking array relative to a feature with the system includes a first calibration definition and a second calibration definition transmitted to the tracking system. A first feature and a second feature together are assembled. The calibration is verified by computing the deviations between the tracked position of the first feature and the tracked position of the second feature using: a recorded position and orientation of the first and second tracking array, and the uploaded first calibration definition and the uploaded second calibration definition.
A method and system is provided for registering the position and orientation (POSE) of a bone, where only data points that rest on the cortex of the bone are used to establish data points for determining the bone's POSE during a surgical procedure. The method collects the contact force and only collects a data point upon the removal at a specific threshold, which allows a digitizer to pass through the cartilage or soft tissue prior to the condition which defines when a data collection switch is closed. The collection of points is more consistent since the threshold value is normalized to hounds-field units of computed tomography (CT) data used for segmentation. The method utilizes a load cell to define a selection of a point based upon the release of what the point load applied is, as well as normalizing the activation threshold to the CT data of the bone.
A61B 17/56 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor
G16H 40/67 - ICT specially adapted for the management or administration of healthcare resources or facilitiesICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
G16H 30/40 - ICT specially adapted for the handling or processing of medical images for processing medical images, e.g. editing
G16H 50/70 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
G16H 20/40 - ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
G16H 50/50 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
58.
SYSTEM AND METHOD FOR ALIGNING A TOOL WITH AN AXIS TO PERFORM A MEDICAL PROCEDURE
A system and method are provided for aligning a tool with a targeted axis in tissue to perform a medical procedure. A medical plan is registered to the location of the tissue using a computer-assisted medical system, where the medical plan include a planned position for the targeted axis based on pre-procedure data. The tool is aligned with the planned position for the targeted axis using a computer- assisted medical system. The computer-assisted medical system includes a hand- held device having a handle and a working portion adjustable relative to the handle so as to orient the tool. A computing system is also provided comprising a tracking system and a control system for registering the medical plan to the location of the tissue, tracking the hand-held device relative to the tissue and the medical plan, and adjusting the working portion of the hand-held device relative to its handle.
A method for registering one or more surfaces associated with a bone for implant revision procedures includes a digitizer used to digitize surface points on remaining cement, bone surfaces, or both. The bone is adapted to hold a primary implant and from which the primary implant was removed. The position of the one or more surfaces associated with bone is registered by computing at least one of: a generic set of one or more planes using the surface points or a best match between a known implant geometry and the surface points. A computer-assisted surgical system is also provided to execute the method.
A rollable digitizer device for collecting a plurality of points on a bone that includes a wheel having multiple probes emanating circumferentially therefrom. One or more contact sensors adapted to detect if at least one of probes is in contact with the bone. The contact sensors located in the wheel, on the wheel, proximal to said one or more contact sensors, or a combination thereof. A handle connected to the wheel and adapted to permit a user to roll the probes along the bone, so each of the probes make sequential and detectable contact with the bone to facilitate the collection of multiple points on the bone. A method for collecting a multiple registration points on a bone with the rollable digitizer device includes wielding the rollable digitizer by the handle. The probes are rolled along the surface of the bone to collect the plurality of registration points.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/50 - Supports for surgical instruments, e.g. articulated arms
A process for confirming registration of bones involved in a joint replacement procedure is provided that includes a three dimensional (3-D) models of the bones being generated. The bones are tracked with a tracking device attached to each of the bones to allow 6-degrees of freedom (DOF) tracking during the joint replacement procedure. The 3-D models to the bones are registered and the bones having the tracking device are moved. A corresponding motion in the 3-D models with the moving of the bones is then observed. The registration of the 3-D models to the bone when the observations of the 3-D models move in correspondence with the actual bones is then confirmed or an alarm when an algorithm detects the 3-D bone models move unexpectedly during the movement of the bones. A system for confirming registration of bones involved in the joint replacement procedure is also provided.
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
Goods & Services
Downloadable computer software, namely, preoperative
planning software used for orthopedic surgical procedures. Surgical and medical apparatus and instruments, namely,
surgical robotic systems comprising computers, cutting
instruments, and computer programs, used for orthopedic and
other surgical procedures.
63.
Implant based planning, digitizing, and registration for total joint arthroplasty
A method for removing an implant attached to a bone during revision joint replacement surgery includes a library of implant models. A series of surface points are collected on the implant with a digitizer. A best match is computed between the collected surface points and an implant model in the library of implant models to register the position of the implant model to the implant. A location is computed of a material-implant interface based on the geometry of the implant model and the registered position of the implant model. Material is removed at the material-implant interface to separate the implant from the bone. A computer-assisted surgical system is provided for performing the method.
A device, method, and system are provided for measuring the fit and mechanical properties of an intended ligament or tendon graft during a surgical procedure. The device includes a sensor body, a set of temporary fixation securements that terminate a set of opposing sides of the sensor body, and electronic circuitry in communication with the sensor body, where the electronic circuitry generates electric signals in proportion to the mechanical properties experienced by the sensor body. The set of temporary fixation securements are adapted to attach to at least one of: (i) one or more patient bones, or (ii) permanent fixation hardware assembled to one or more patient bones.
A method and system are provided to assist in positioning the field-of-view (FOV) of an optical tracking system during a computer-assisted surgical procedure. The method includes displaying a view from a visible light detector on a display, and generating an outline as an overlay on the display of a FOV of two or more optical tracking detectors on the displayed view from the visible light detector. A user then positions at least one of: a) the two or more optical tracking detectors, or b) a tracked object based on the displayed view from the visible light detector and the generated outline.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A method and system for controlling and executing a workflow during a computer-assisted surgical procedure include providing an optical tracking system having a field of view and being in communication with the workflow, introducing a first tracked device into the field of view, identifying the first tracked device with the tracking system based on a first reference member associated with the first tracked device, determining a first step in the workflow based on the identification of the first tracked device, and displaying the first step to a user on a graphical user interface. The optical tracking system having a processor with software executable instructions for identifying the presence or absence of either the tracked implements in the field of view of the tracking system, determining a workflow step based on identification of the tracked implement, and commanding the workflow to display the determined step on the graphical user interface.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A calibration device is provided having a body with an exterior surface configured for placement about a tool such that the body rotates about a tool axis. One or more fiducial marker is positioned on the exterior surface and in communication with a tracking system. A fixed fiducial marker array is provided that is also in communication with the tracking system. A calibration tool defines the tool axis relative to the fiducial marker array. A surgical system is also provided with a tracking module that calculates a center point of the rotation or a normal vector to the circular path to define a tool axis orientation. A method of using the surgical system and defining a tool axis relative to a fiducial marker array is provided. A system for defining a robot link orientation or tracking a tool a medical procedure and a fiducial marker array are provided.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A system and process for performing orthopedic surgery is provided that uses a tibial trial system in total knee arthroplasty for assessing optimal internal-external rotation and posterior tibial slope, and for measuring the rotation of a tibial trial throughout flexion-extension to determine and mark the best position for the final tibial component. The tibial trial system determines the internal-external location on a patient specific basis with improved component placement well within the present manual methods. One particular advantage to the tibial trial system is to assess the natural internal-external rotation that the tibial component will experience relative to the femoral component during flexion-extension as opposed to simply recording and balancing forces on a static tibial trial. The invention disclosed herein may also be adapted to be used with a computer assisted surgical device. Such surgical devices include active, semi-active, and haptic devices as well as articulating drill and saw systems.
A system and method are described herein for designating a precise location for a bone tunnel to receive a ligament or tendon graft and guiding a robotic drill for creating the bone tunnel. The system includes a tracking system, a digitizer, a computing system, and a robotic drill. The digitizer designates a start point for the tunnel entry site and an end point where the tunnel terminates. The start point and end point are recorded in the computing system and a vector is calculated between the start point and the end point. The vector is supplied to a robotic drill to drill the tunnel in the bone. A ligament or tendon graft may be placed in the tunnel and secured to the bone to complete the procedure.
A device for checking post cut plane accuracy and alignment following bone removal in a bone of a patient during a computer-assisted surgical procedure to create a bone surface is provided. The device includes a body having an axis and adapted to contact the bone surface. One or more alignment features are associated with the body and are accessible when the body is in contact with the bone surface. Each of the one or more alignment features has a known orientation and position relative to the axis. A method for checking post cut plane accuracy and alignment following removal of bone from a patient to create a bone surface during a computer- assisted surgical procedure is also provided. A computer-assisted surgical system is provided that includes a tracking system, a tracked digitizer probe, the aforementioned device, a tracked surgical device, and one or more computers with software for determining the orientation.
A computer-implemented method to improve the point collection process during registration of a bone for a computer-assisted surgical procedure is provided. Based on bone digitization data, a simulation is performed to confirm the accuracy of the registration for different digitization regions. Results are tested to identify which digitization regions meet a predefined accuracy requirement. The resulting information is used to perform a computer-assisted surgical procedure. A computerized simulation method for registration of a bone for a computer-assisted surgical procedure is also provided based on processor executing random stroking an expected exposed surface of a bone model with multiple of stroke curves to cover most of the bone model surface with uniform noise and a random sample consensus is applied to remove outlying point to yield the best registration results, to find the top subset as to overlap. A method to perform computer-assisted surgery is also provided.
A61B 17/16 - Instruments for performing osteoclasisDrills or chisels for bonesTrepans
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
Surgical and medical apparatus and instruments, namely, surgical robotic systems comprising computers, cutting instruments, and computer programs, used for orthopedic and other surgical procedures
74.
System and method for installing bone hardware outside an end-effectors tool path
A system and method are described herein for installing hardware in a bone outside an end-effector's tool path prior to modifying the bone. The method includes the installation of a first piece of hardware in the bone. The bone and a cut volume to be created in the bone is registered to a computer-assist device. A processor calculates whether the hardware is within the cut volume based on the geometry and POSE of the hardware relative to the POSE of the cut volume. A user is notified if the hardware is at or inside the cut volume based on the calculation. If so, a second piece of hardware is installed in the bone and the calculation is repeated to determine if the second piece of hardware is at or inside the cut volume. The surgical procedure may commence when an installed piece of hardware is installed outside the cut volume.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
Goods & Services
downloadable computer software, namely, preoperative planning software used for orthopedic surgical procedures Surgical and medical apparatus and instruments, namely, surgical robotic systems comprising computers, cutting instruments, and computer programs, used for orthopedic and other surgical procedures
76.
METHOD OF VERIFYING TRACKING ARRAY POSITIONAL ACCURACY
A method for verifying the positional accuracy of a tracking reference device is provided that includes a tracking reference device attached to a bone. The bone is then registered with respect to a coordinate frame of the tracking reference device. A verification mark on the bone is then created where the position of the verification mark is recorded, by way of a tracking system, with respect to the tracking reference device. The positional accuracy of the tracking reference device is verified by instructing an end-effector of a robotic-assisted surgical device to align with the verification mark on the bone, and wherein if the end-effector does not align with the verification mark, the positional accuracy of the tracking reference device is compromised. A surgical system for performing the computerized method is also provided.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A process for confirming registration of bones involved in a joint replacement procedure is provided that includes a three dimensional (3-D) models of the bones being generated. The bones are tracked with a tracking device attached to each of the bones to allow 6-degrees of freedom (DOF) tracking during the joint replacement procedure. The 3-D models to the bones are registered and the bones having the tracking device are moved. A corresponding motion in the 3-D models with the moving of the bones is then observed. The registration of the 3-D models to the bone when the observations of the 3-D models move in correspondence with the actual bones is then confirmed or an alarm when an algorithm detects the 3-D bone models move unexpectedly during the movement of the bones. A system for confirming registration of bones involved in the joint replacement procedure is also provided.
A cutting device is provided that includes an expandable tube having a base and a hollow interior for receiving the implant therein. The expandable tube includes cutting segments extending from the base and terminating to form a distal end of the expandable tube. At least one of the cutting segments has a cutting end with cutting teeth at the distal end of the expandable tube. Spring shaped sections are provided that extend the cutting segments. A method for removing an implant from a target bone is also provided based on the cutting device. A system for removing material directly surrounding an outer surface of an implant in an intramedullary canal of a target bone is also provided based on the cutting device and a sheath. A retractable opening is formed of leaflets at a distal end of the sheath, and a proximal end opposite the distal end.
A61B 17/58 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
A61B 17/60 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors or contractors
A61F 2/00 - Filters implantable into blood vesselsProstheses, i.e. artificial substitutes or replacements for parts of the bodyAppliances for connecting them with the bodyDevices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
A61F 2/46 - Special tools for implanting artificial joints
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A system, device, and method is provided that improves the point collection process during bone registration for computer-assisted surgical procedures. A user is guided in the point collection process by projecting a set of points directly on the bone with a tracked digitizer probe following a rough registration of the bone. The system, device, and method therefore negates the need for the user to constantly look-up on an instructional display monitor and make the complicated mappings between the displayed instructions on the monitor and the actual bone.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A system and method for intra-operatively measuring or verifying the placement of an implant within a bone in joint arthroplasty procedures are described herein. Pre-operative bone data of the patient is collected. A user plans the position of one or more implants relative to the pre-operative bone data. Intra-operatively, the patients bone is registered to the pre-operative bone data and to a computer-assist device. The bone is prepared and a physical implant is installed with the bone. A plurality of points are digitized on at least one of the physical implant or an apparatus associated with the physical implant. The computer-assist device calculates any errors between the planned position and orientation (POSE) of the implant relative to the actual POSE of the physical implant using the digitized points. The system may further notify a user of any errors and provide instructions to minimize the errors.
3222C, VC each alone or in combination being present from 0 to 2%, and Ni constituting the remainder. The composition is formed to have a mean grain size of between 200 and 800 nm with a particle dispersion index (Pdl) corresponding to (the square of the standard deviation)/(mean grain size) of between 0 and 0.6, and in some embodiments between 0.02 and 0.2.
C22C 29/08 - Alloys based on carbides, oxides, borides, nitrides or silicides, e.g. cermets, or other metal compounds, e. g. oxynitrides, sulfides based on carbides or carbonitrides based on carbides, but not containing other metal compounds based on tungsten carbide
Surgical and medical apparatus and instruments, namely,
surgical robotic systems comprising computers, cutting
instruments, and computer programs, used for orthopedic and
other surgical procedures.
Medical apparatus and instruments for use in orthopedic
surgery; surgical and medical apparatus and instruments for
use in orthopedic surgery; surgical and medical apparatus
and instruments for use in orthopedic total joint
replacement surgery; surgical robots.
84.
COMPUTER INPUT METHOD USING A DIGITIZER AS AN INPUT DEVICE
A system and method is provided that supplies computer inputs using a tracked pointer as an input device during computer-assisted surgery. The system and method provides input or feedback to a computer-assisted surgical device. The system and method utilizes a tracking system for tracking a set of devices in an operating room. The set of devices includes a tracked surgical device that performs one or more tasks on a patient, a tracked display device that displays data related to the operation of the surgical device, and a tracked pointer to interact with the tracked display device and input data into a computing system associated with the tracking system and the tracked display device. The tracked pointer inputs data into the computing system based on the relative position and orientation (POSE) of the tracked pointer relative to the POSE of the tracked display device.
A process is provided to recover a bone-to-image, image-to-system, and/or bone-to-system registration, when bone movement occurs during a computer-assisted surgical procedure. The process may be implemented with a computer-assisted surgical system. Examples of surgical systems that can exploit the recovery process illustratively include a 1-6 degree of freedom hand-held surgical system, a navigated surgical system, a serial-chain manipulator system, a parallel robotic system, or a master-slave robotic system.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
An optical tracking system includes at least one tracking array for generating and optically transmitting data between 1 and 2,000 MB/s. At least one tracker for optically receiving the optically transmitted data between 1 and 2,000 MB/s is also provided. The tracking system is used not only for tracking objects and sending tracking information quickly but also providing the user or other components in an operating room with additional data relevant to an external device such as a computer assisted device. Orthopedic surgical procedures such as total knee arthroplasty (TKA) are performed more efficiently and with better result with the optical tracking system.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 17/00 - Surgical instruments, devices or methods
A61B 90/30 - Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
H04B 10/112 - Line-of-sight transmission over an extended range
An articulating drill system is provided that includes a hand-held portion and a drill portion. At least two actuators are provided for controlling at least two axes of the drill portion. A navigation system is provided to control the at least two actuators. In some embodiments, a tool is provided with the drill portion and adapted to interact with patient tissue. The drill portion can be modified to include at least two rigid objects in communication with the actuators and attached to the drill portion. The system can be used to make any linear cut within a deviation of ±1.0 mm and ±1.0°, or better in patient tissue.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 17/16 - Instruments for performing osteoclasisDrills or chisels for bonesTrepans
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61B 90/30 - Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
A saw guide for guiding a surgical saw or drill includes a guide portion having one or more guide slots, the one or more guide slot or hole configured to guide a surgical saw or drill. The guide portion has an attachment portion forming a clamping slot between the guide portion and the attachment portion. A clamp locking mechanism is assembled to the guide portion and has one or more cams in contact with the attachment portion. An alignment system for surgical bone cutting procedures is provided that includes bone pins inserted within a virtual plane relative to a cut plane to be created on a subject's bone. One of the aforementioned guides is configured to be received onto the bone pins, one or more guide slots within said guide, said one or more guide slots configured to guide a surgical saw to make surgical cuts on the subject's bone.
A computerized system and method is provided for stabilizing a first bone relative to a second bone during robotic based total joint arthroplasty. A plurality of cut paths are determined, either pre-operatively or intra-operatively using three-dimensional (3-D) virtual bone models, relative to the first bone and/or second bone in order to modify the bone(s) to receive an implant in a desired position and orientation. At least one stability region is identified between the two bones, where one or more cut paths are adjusted to avoid the at least one stability region. The first bone is therefore stabilized against the second bone at the at least one stability region while the remaining cut paths are executed around the stability region. Finally, the at least one stability region is removed once the reaming cut paths are completed and an implant is placed on the modified bone(s).
A rollable digitizer device for collecting a plurality of points on a bone that includes a wheel having multiple probes emanating circumferentially therefrom. One or more contact sensors adapted to detect if at least one of probes is in contact with the bone. The contact sensors located in the wheel, on the wheel, proximal to said one or more contact sensors, or a combination thereof. A handle connected to the wheel and adapted to permit a user to roll the probes along the bone, so each of the probes make sequential and detectable contact with the bone to facilitate the collection of multiple points on the bone. A method for collecting a multiple registration points on a bone with the rollable digitizer device includes wielding the rollab digitizer by the handle. The probes are rolled along the surface of the bone to collect the plurality of registration points.
A method and system for controlling and executing a workflow during a computer-assisted surgical procedure include providing an optical tracking system having a field of view and being in communication with the workflow, introducing a first tracked device into the field of view, identifying the first tracked device with the tracking system based on a first reference member associated with the first tracked device, determining a first step in the workflow based on the identification of the first tracked device, and displaying the first step to a user on a graphical user interface. The optical tracking system having a processor with software executable instructions for identifying the presence or absence of either the tracked implements in the field of view of the tracking system, determining a workflow step based on identification of the tracked implement, and commanding the workflow to display the determined step on the graphical user interface.
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
92.
BONE REGISTRATION IN TWO-STAGE ORTHOPEDIC REVISION PROCEDURES
A method for registering a bone is provided that includes the installation of two or more registration markers on an exposed portion of the bone as part of a first stage of a revision. An image data set of the bone is generated to create imaged registration markers. A surgical plan is generated for implanting one or more secondary implants in a second stage of the two-stage procedure based on the image data. The bone is registered to the surgical plan and a computer-assist device using the two or more registration markers by: digitizing a set of positions of the two or more registration markers to create digitized registration markers; and mapping the set of positions of the digitized registration markers with a corresponding set of positions of the imaged registration markers. A system for performing the method is provided. Implant revision is promoted through the use of the method.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A surgical device for pin insertion in a bone of a subject to aid in performing a bone cutting procedure is provided that includes a drive portion configured to drive a pin for insertion into the bone. The drive portion has a pin drive assembly with a shaft Q having a shaft proximal end. At least one magnet is associated with the shaft proximal end adapted for attraction and retention of the pin in the shaft proximal end. A spindle assembly is adapted to drive the shaft so as to rotate the pin into the bone to a degree of bone retention that overcomes the attraction and the retention of the pin in the shaft proximal end. An alignment system for surgical bone cutting procedures inclusive of the same is also provided along with a method for aligning a cutting guide on a subject's bone.
A61B 17/56 - Surgical instruments or methods for treatment of bones or jointsDevices specially adapted therefor
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A system and method are provided for improving the positioning of a target anatomy relative to a robot to perform a medical procedure. The system and method is especially advantageous for complex procedures that require a large operational workspace and/or several manipulator orientation changes to execute a surgical plan in its entirety such as total knee arthroplasty (TKA), as well as any of a wide variety of other surgical procedures, orthopedic or otherwise, including hip arthroplasty, ligament reconstruction, and shoulder arthroplasty. Dynamic and controlled repositioning of the target anatomy promotes robotic surgical system access in a way that any static positioning of the target anatomy cannot thereby speeding a surgical process and extending the spatial range of operation of the robot and tools carried thereon.
A61B 34/20 - Surgical navigation systemsDevices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A61G 13/12 - Rests specially adapted thereforArrangements of patient-supporting surfaces
95.
SYSTEM AND METHOD FOR INSTALLING BONE HARDWARE OUTSIDE AN END-EFFECTOR'S TOOL PATH
A system and method are described herein for installing hardware in a bone outside an end-effector's tool path prior to modifying the bone. The method includes the installation of a first piece of hardware in the bone. The bone and a cut volume to be created in the bone is registered to a computer-assist device. A processor calculates whether the hardware is within the cut volume based on the geometry and POSE of the hardware relative to the POSE of the cut volume. A user is notified if the hardware is at or inside the cut volume based on the calculation. If so, a second piece of hardware is installed in the bone and the calculation is repeated to determine if the second piece of hardware is at or inside the cut volume. The surgical procedure may commence when an installed piece of hardware is installed outside the cut volume.
A61B 90/00 - Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups , e.g. for luxation treatment or for protecting wound edges
A method to guide in preparation of a bone relies on an instrument having a shaft with a working end and a stop member. The shaft is free to translate along an axis. Surgical planning data is registered to the bone to determine intra-operative coordinates of the desired axis and depth. The instrument holder is positioned by the bone so the stop member contacts the instrument holder to prevent translating beyond the desired depth. Alternatively, an arm is manipulated to align the instrument with the desired axis. The working end rests on the bone to define a linear separation to the desired depth. By proximally translating the instrument holder to contact the stop member and distally translating the instrument holder along the shaft, the stop member physically stops translating beyond the desired depth. A surgical system for performing the methods is provided; a reamer or impactor are also disclosed.
A system and process for performing orthopedic surgery is provided that uses a patient's existing implant as a registration tool in an orthopedic surgical procedure. The systems and processes may be used with computer assisted systems or navigation systems to aid in the removal of bone, bone cement, or a bone prosthesis, typically a bone prosthesis used in hip replacement surgery, knee replacement surgery, and the like. The removal of the prosthesis may be done by conventional methods, with navigation systems, robotic assistance or articulating hand held systems. The removal of bone and/or bone cement may be performed with navigated systems, robotic systems, articulating hand-held systems and combinations thereof.
Systems and methods are provided to aid in planning at least a portion of a total knee arthroplasty procedure. The system and method automatically aligns the implant components and the bones according to a desired clinical alignment goal with minimum user input. The system and method further allows the user to adjust the position and orientation of the femur, tibia, or implant in a clinical direction regardless of a pre-adjusted position and orientation of the femur, tibia, or implant. The graphical user interface is provided that includes a three-dimensional (3-D) view window, a view options window, a patient information window, an implant family window, a workflow-specific tasks window, and a limb and knee alignment measures window.
A61B 34/10 - Computer-aided planning, simulation or modelling of surgical operations
A61B 34/00 - Computer-aided surgeryManipulators or robots specially adapted for use in surgery
G16H 50/50 - ICT specially adapted for medical diagnosis, medical simulation or medical data miningICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for simulation or modelling of medical disorders
G06F 3/04815 - Interaction with a metaphor-based environment or interaction object displayed as three-dimensional, e.g. changing the user viewpoint with respect to the environment or object
A system and method for intra-operatively measuring or verifying the placement of an implant within a bone in joint arthroplasty procedures are described herein. Pre-operative bone data of the patient is collected. A user plans the position of one or more implants relative to the pre-operative bone data. Intra-operatively, the patient's bone is registered to the pre-operative bone data and to a computer-assist device. The bone is prepared and a physical implant is installed with the bone. A plurality of points are digitized on at least one of the physical implant or an apparatus associated with the physical implant. The computer-assist device calculates any errors between the planned position and orientation (POSE) of the implant relative to the actual POSE of the physical implant using the digitized points. The system may further notify a user of any errors and provide instructions to minimize the errors.
09 - Scientific and electric apparatus and instruments
10 - Medical apparatus and instruments
Goods & Services
Downloadable computer software, namely, preoperative planning software used for orthopedic and other surgical procedures, and instruction manuals sold with the goods Surgical and medical apparatus and instruments, namely, surgical robotic systems comprising computers, cutting instruments, and computer programs, used for orthopedic and other surgical procedures
